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โ† Trials
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UCD19 CarT in Treatment of Pediatric B-ALL and B-NHL

RecruitingPhase 1, Phase 2Ages 31 Days - 30 YearsAllUniversity of Colorado, Denver
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In plain words

What the trial is, and whether it could suit you

This phase I/II trial will investigate a new CD19 directed CAR-T therapy manufactured locally with the goals to expedite infusion to wider patient inclusion that includes those who were previously excluded, such as pediatric patients with B-cell NHL and patients in primary relapse.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Meets clinical criteria for leukapheresis or has a leukapheresis product previously collected and stored per recommended guidelines. * Provision of signed and dated consent form from parent or guardian (patients \<18), the patient themselves (\>18), or legally authorized representative (patient \>18 who lack decision-making capacity); Pediatric patients will be included in age-appropriate discussions and assent will be obtained for those \> 7 years of age, when appropriate, according to institutional standards. * Willingness to participate in long term follow up study. * Stated willingness to comply with all study procedures and be available for the duration of the study. * Males OR non-pregnant, non-breastfeeding females. o Patients of child-bearing potential or capable of fathering a child must agree to use highly effective contraception from the time of initial CAR T cell administration though 12 months following the final administration of investigational product. * Aged 31 days to 30 years (inclusive) at time of consent and enrollment. * Acute Lymphoblastic Leukemia (ALL) OR Non-Hodgkin Lymphoma (NHL) of B-cell origin that: * Has confirmed expression of CD19 by flow cytometry, immunohistochemistry (IHC), or both. Cohort One Criteria: * Meets any one of the following conditions: * Relapsed two or more times * Relapsed at any time after allogeneic BMT * Refractory to standard therapy as determined by the treating physician * Meets criteria for BMT but is ineligible as determined by the treating physician Patient and/or parents declining BMT options and would prefer CAR-T Therapy. * Non-Hodgkin Lymphoma includes all of the following: * Diffuse large B-cell lymphoma (DLBCL) * Burkitt Lymphoma * Intermediate lymphoma between Burkitt and DLBCL * Primary Mediastinal B-cell Lymphoma (PMBL) * Follicular lymphoma * High grade B cell lymphoma * Transformed lymphoma Cohort Two Criteria: * B-ALL in first relapse with any one of the following conditions: * High-risk genomic alterations at initial diagnosis such as KMT2A gene rearrangement, t(17;19), hypodiploidy, Ph-like mutations, BCR-ABL1 fusion (Ph+ ALL), iAMP21, and TP53 inactivating mutation/deletion. * Isolated CNS relapse such that cranial radiation would be indicated as a component of standard salvage therapy. * Down syndrome. * Minimal residual disease (MRD) positivity of \> 0.01% by FACS or \> 0 clonal sequences by NGS in bone marrow post re-induction chemotherapy. * Age 18 years or older. OR Newly diagnosed with persistent MRD โ‰ฅ 0.01% by flow cytometry in bone marrow at end of consolidation. * Performance score (Lansky or Karnofsky) of 50% or better; * Unable to or declined to receive commercially available CD19 CAR-T Therapy. Exclusion Criteria: * Evidence of rapidly progressive disease without adequate salvage/bridging regimens as determined by the investigator. * Active Graft-versus-Host Disease (GvHD). * Active, uncontrolled, life-threatening infection that at the determination of the treating physician would preclude safe leukapheresis or tolerance of LD chemotherapy, cell infusion, or cytokine release syndrome. * Evidence of severe organ dysfunction as defined by: * Myocardial dysfunction: Ejection fraction โ‰ค 40% or shortening fraction โ‰ค 28%, evidence of physiologically significant pericardial effusion as determined by an echocardiogram (ECHO), and clinically significant electrocardiogram (ECG) findings. * Baseline oxygen saturation of โ‰ค 90% on room air * Transaminases \> 10x upper limit of normal (ULN) or bilirubin \>2x the ULN, unless thought to be related to primary disease * Estimated Cr clearance \<60 mL/min/1.73 m2 (if nuclear medicine GFR or other more specific testing exceeds this level than it can supersede the estimated clearance) * Post-pubertal females that are pregnant, planning to become pregnant, or unwilling to use birth control (includes abstinence) for the study duration. * Known HIV infection, or active Hepatitis B or active Hepatitis C infection.
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What it tests

  • CD19CAR-CD3Zeta-4-1BB-Expressing Autologous T-Lymphocyte Cells
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Where

1 site
Children's Hospital Colorado
Aurora, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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